Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ravi Bhavesh Raithatha, OD

Individual provider Optometrist · NPI 1619867181

Ravi Bhavesh Raithatha, OD is an Optometry in New York, New York. Graduated from State University of New York - State College Optometry in 2025, 1 year ago. Practices as a sole proprietor. Licensed in New Jersey.

Years since qualifying
1
Trained at
State University of New York - State College Optometry
Licensed in
NJ
In the registry since
2025
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

86 Stanton St Apt 4
New York, NY 10002-1441
Phone: (201) 674-3336
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 27OA00736800 (NJ)

Record details

NPI number1619867181
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedJuly 7, 2025
Last updated in NPPESJuly 7, 2025
Certification dateJune 24, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolSTATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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